How much rates vary
Facilitymedian $15 · 10th to 90th $15 to $16Professionalmedian $18 · 10th to 90th $12 to $36
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $16.22 | Facility | None | $14.79 | $14.79 | $16.22 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $21.38 | Professional | None (both parts) | $14.79 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $10.72 | Professional | 26 · Professional part | $7.59 | $7.59 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $7.24 Typical High $10.96 | Professional | TC · Technical part | $7.24 | $7.24 | $10.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $30.90 | Professional | None (both parts) | $15.85 | $15.85 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.22 Median $17.78 Typical High $36.31 | Professional | None (both parts) | $11.22 | $17.78 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $18.20 | Professional | 26 · Professional part | $7.24 | $8.91 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $9.33 Typical High $18.20 | Professional | TC · Technical part | $7.59 | $9.33 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $21.88 Typical High $47.86 | Professional | None (both parts) | $18.20 | $21.88 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $11.22 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.96 Typical High $23.44 | Professional | TC · Technical part | $8.71 | $10.96 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $169.82 | Professional | None | $17.38 | $22.39 | $169.82 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $85.11 | Professional | 26 · Professional part | $8.51 | $10.96 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $10.96 Typical High $85.11 | Professional | TC · Technical part | $8.91 | $10.96 | $85.11 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $16.98 Typical High $34.67 | Professional | None (both parts) | $8.91 | $16.98 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $21.88 Typical High $46.77 | Professional | None (both parts) | $14.13 | $21.88 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $24.55 | Professional | 26 · Professional part | $7.41 | $11.22 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $10.96 Typical High $22.91 | Professional | TC · Technical part | $6.76 | $10.96 | $22.91 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.41 Typical High $8.32 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.31 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.31 |
Where Georgia sits
The same service costs 2.7 times more in Minnesota than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 39th of 51
$17.78
MN $38.02FL $14.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.